University of Iceland, Reykjavik, Iceland.
University of Iceland, Reykjavik, Iceland; Charles Sturt University, Bathurst, Australia.
J Fluency Disord. 2020 Jun;64:105764. doi: 10.1016/j.jfludis.2020.105764. Epub 2020 May 8.
Across studies there is great variability in reported rates of stuttering recovery. This study examined the impact that different definitions of recovery had on calculation of recovery rates and factors associated with recovery within the same sample of children.
Speech samples and parents and child reports of their experiences of stuttering were collected from 38 children who stuttered aged 2-5 years of age (Occassion-1) and again at 9-13 years of age (Occassion-2). Four different criteria for recovery that were developed representing variations in criteria reported in previous research were applied to data from these children.
. The majority of the participants (82%) showed very little disfluent speech (<1% syllables stuttered) at Occasion 2. Recovery rate varied greatly depending on the criteria used, ranging from 13.2%-94.7%. Definitions ordered from least to greatest recovery that were (a) parent and clinician report no stuttering and no stuttering observed (13.2 %); (b) ≤1% syllables stuttered; severity rated at ≤1; parent, clinician, and child report recovery (55.3 %); (c) ≤1% syllables stuttered; severity rated at ≤1; parent and clinician report recovery (71.1 %); (d) <3.0 % syllables stuttered (94.7 %). Five participants were considered recovered and two were considered persistent stutters across all criteria. Different factors were associated with recovery from stuttering depending on the criterion used.
The concept of recovery from stuttering is complex and estimations of recovery rate are likely to be greatly affected by differences in definitions and measurement across studies. This has a flow-on effect in determining the factors associated with recovery from stuttering.
在不同研究中,报告的口吃康复率存在很大差异。本研究通过同一组儿童的样本,考察了不同的康复定义对口吃康复率的计算以及与康复相关的因素的影响。
从 38 名 2-5 岁(Occassion-1)和 9-13 岁(Occassion-2)的口吃儿童那里收集了语音样本和家长及儿童对他们口吃经历的报告。本研究采用了 4 种不同的康复标准,这些标准代表了之前研究中报告的标准的变化。
大多数参与者(82%)在 Occasion 2 时只有很少的不流畅言语(<1%的音节口吃)。康复率因使用的标准而异,变化范围很大,从 13.2%-94.7%。使用的标准依次为(a)家长和临床医生报告无口吃且未观察到口吃(13.2%);(b)≤1%的音节口吃;严重程度评分为≤1;家长、临床医生和儿童报告康复(55.3%);(c)≤1%的音节口吃;严重程度评分为≤1;家长和临床医生报告康复(71.1%);(d)<3.0%的音节口吃(94.7%)。根据所有标准,有 5 名参与者被认为已经康复,有 2 名参与者被认为一直口吃。不同的标准与口吃康复相关的因素也不同。
口吃康复的概念很复杂,不同研究中定义和测量方法的差异很可能极大地影响康复率的估计。这对确定与口吃康复相关的因素有影响。